Blood sugar 168 mg/dl after-eating – good or bad?

We help you interpret your blood sugar values. You have tested your blood sugar after eating and the result was 168 mg/dl. The corresponding A1C is 7.5%. Let’s have a look at the blood sugar gauge:

Your result is:

High blood sugar (Hyperglycemia)

To improve your blood sugar after eating you need to
lower your blood glucose level by 28mg/dl.

Your blood sugar level (up to 2 hours) after eating should always be below 140mg/dl but not fall below 80mg/dl.

It is normal for blood sugar levels to rise immediately after a meal. The increased glucose is a product of the carbohydrates in the food that was just consumed. The higher blood glucose triggers the pancreas to produce more insulin.

Blood Sugar after eating

This release of insulin usually takes place within about 10 minutes of eating. The insulin removes the glucose from the blood and stores it for the body to use as energy. In a healthy individual, blood glucose levels should return to a normal level within about two hours after finishing the meal. In diabetics, the blood sugar level often remain elevated for a longer period because of the body’s inability to produce or utilize insulin properly.An elevated two-hour postprandial (after a meal) blood sugar may indicate diabetes or prediabetes. As a general rule, a normal two- hour postprandial blood sugar is as follows:

• Age 50 and under: Less than 140 mg/dl
• Age 50 – 60: Less than 150 mg/dl
• Over age 60: Less than 160 mg/dl

A doctor may recommend different postprandial blood sugar levels based on an individual’s particular circumstances and health history.

Several factors may cause a person’s postprandial blood sugar to remain elevated.

• Smoking after the meal: Studies show that smoking raises blood sugar levels in people with diabetes.
• Extreme stress: Stress produces the body’s fight-or-flight response triggering the release of stress hormones such as cortisol. These hormones cause the body to release the glucose it has previously stored for energy.
• Eating or drinking after the meal and before testing the blood sugar: Continuing to eat will keep blood sugars closer to their immediate post-meal levels.

Studies show that 15 to 20 minutes of moderate exercise, such as walking, shortly after a meal may improve glucose metabolism and reduce postprandial glucose levels.

Is 168 Blood Sugar Normal?

Is 166 high for blood sugar after eating?

Ideally, blood glucose levels range from 90 to 130 mg/dL before meals, and below 180 mg/dL within 1 to 2 hours after a meal.

Adolescents and adults with diabetes strive to keep their blood sugar levels within a controlled range, usually 80-150 mg/dL before meals..

Is 163 high for blood sugar after eating?

The ideal fasting blood glucose reading is less than 100. The ideal post-meal blood glucose reading is less than 140. 140-200 post meal/random reading is considered pre-diabetes.

Can high blood sugar be temporary?

Temporary hyperglycemia is often benign and asymptomatic. Blood glucose levels can rise well above normal and cause pathological and functional changes for significant periods without producing any permanent effects or symptoms.

Is 169 blood sugar high after eating?

Hyperglycemia occurs when the blood sugar is above 130 mg/dL while fasting, or greater than 180 mg/dL after eating a meal. American Diabetes Association Glucose Goals for people with Diabetes: Before meals or fasting: 70 to 130 mg/dL. 1-2 hours after the start of a meal: Less than 180 mg/dL.

What is normal blood sugar level for diabetes type 2?

Less than 140 mg/dL (7.8 mmol/L) is normal. 140 to 199 mg/dL (7.8 mmol/L and 11.0 mmol/L) is diagnosed as prediabetes. 200 mg/dL (11.1 mmol/L) or higher after two hours suggests diabetes.

What should blood sugar be 2 hours after eating?

What Are Normal Blood Sugar Levels? They’re less than 100 mg/dL after not eating (fasting) for at least 8 hours. And they’re less than 140 mg/dL 2 hours after eating. During the day, levels tend to be at their lowest just before meals.

Is 167 blood sugar normal?

A normal blood glucose level for adults, without diabetes, who haven’t eaten for at least eight hours (fasting) is less than 100 mg/dL. A normal blood glucose level for adults, without diabetes, two hours after eating is 90 to 110 mg/dL.

Will drinking water lower blood sugar?

Drinking water regularly helps rehydrate the blood, lowers blood sugar levels, and could reduce diabetes risk ( 16 , 17 , 18 , 19 ).

Is blood sugar of 170 high after eating?

Normal blood sugar ranges in healthy non-diabetics Here are the normal blood sugar ranges for a person without diabetes according to the American Diabetes Association: Fasting blood sugar (in the morning, before eating): under 100 mg/dL. 1 hour after a meal: 90 to 130 mg/dL. 2 hours after a meal: 90 to 110 mg/dL.

Is 197 high for blood sugar?

fasting blood sugar of 126 mg/dL or higher = diabetes. fasting blood sugar of 100 to 125 mg/dL = prediabetes. fasting blood sugar less than 100 mg/dL = normal.

Is 12 high for blood sugar level?

Persistently high blood sugar usually means you have diabetes. If HbA1c is more than 48 mmol/mol or fasting blood glucose is more than 11 mmol/L, your blood sugar is high. For most people without diabetes, normal blood sugar levels are: between 4 and to 6 mmol/L before meals.

Can stress cause high glucose?

How Stress Affects Your Blood Sugar. During stressful situations, your insulin levels drop and stress hormone levels go up. That makes it harder for your insulin to work the way it should. All of this may raise your blood sugar.

Is blood sugar of 160 high?

In general, high blood glucose, also called ‘hyperglycemia’, is considered “high” when it is 160 mg/dl or above your individual blood glucose target. Be sure to ask your healthcare provider what he or she thinks is a safe target for you for blood glucose before and after meals.

Is blood sugar of 169 bad?

Blood Sugar: When It’s Too Low or Too High A target blood sugar range for most people with type 2 diabetes is 80 to 130 milligrams per deciliter (mg/dl) before a meal and less than 180 mg/dl one to two hours after starting a meal, according to the American Diabetes Association.

Is 151 high for blood sugar?

Aside from glucose produced by your liver, food is the main source of plasma glucose. Two hours after eating, your blood sugar levels rise….Levels After You’ve Eaten (2 Hours)When MeasuredGoals for Healthy AdultsGoals with DiabetesBefore bedtimeLess than 120 mg/dl90-150 mg/dl2 more rows•Oct 4, 2018

What is a bad glucose level?

A standard blood glucose test If your fasting blood glucose levels are between 100 and 125mg/dL, it could be considered prediabetes, says Martha McKittrick RD. “I like to have people get a second test done, to make sure it’s accurate,” she says. A reading higher than 126 mg/dL indicates diabetes.

How do you feel when your blood sugar is too high?

If your blood sugar level is too high, you may experience:Increased thirst.Frequent urination.Fatigue.Nausea and vomiting.Shortness of breath.Stomach pain.Fruity breath odor.A very dry mouth.More items…•Jun 26, 2020

What snacks are good for high blood sugar?

Try one the following healthful snacks before bed to help manage blood sugar levels and satisfy nighttime hunger:A handful of nuts. … A hard-boiled egg. … Low-fat cheese and whole-wheat crackers. … Baby carrots, cherry tomatoes, or cucumber slices. … Celery sticks with hummus. … Air-popped popcorn. … Roasted chickpeas.More items…

Is 168 high blood sugar?

The goal for managing diabetes is to achieve glucose values as close to this as possible, but the recommended range is 80-130 mg/dl. There is no specific value used to define hyperglycemia in all individuals. In general, a glucose level above 160-180 mg/dl is considered hyperglycemia.

What should I eat if my sugar is high?

Here are seven foods that Powers says can help keep your blood sugar in check and make you happy and healthy to boot.Raw, Cooked, or Roasted Vegetables. These add color, flavor, and texture to a meal. … Greens. … Flavorful, Low-calorie Drinks. … Melon or Berries. … Whole-grain, Higher-fiber Foods. … A Little Fat. … Protein.Dec 1, 2015

How can I quickly lower my blood sugar?

When your blood sugar level gets too high — known as hyperglycemia or high blood glucose — the quickest way to reduce it is to take fast-acting insulin. Exercising is another fast, effective way to lower blood sugar….Eat a consistent dietwhole grains.fruits. vegetables.lean proteins.Apr 10, 2017

What Is a Normal Blood Sugar for Kids Without Diabetes?

Healthy blood sugar levels for kids mirror those of adults.

Image Credit: Rawpixel/iStock/GettyImages

Glucose, aka blood sugar, is the body’s main source of energy. But in people with diabetes — including children — blood sugar levels may fall outside the healthy range.

Healthy blood sugar levels for kids are about the same as those for adults. However, there are some key differences when it comes to managing diabetes in children. Here’s what parents need to know.

Normal Blood Sugar for Kids

The body gets most of its glucose by metabolizing the carbohydrates in food. Insulin, a hormone produced by the pancreas, helps move glucose out of the blood and into the cells, where it is used for energy, according to Kaiser Permanente. Through this process, insulin also lowers blood sugar. For people with diabetes, insulin function is impaired, leading to high blood sugar.

Glucose levels vary in both children and adults, depending on how long it has been since the last meal, drink or snack. According to Yale School of Medicine, a normal blood sugar for a child without diabetes should fall within the following ranges:

• Before breakfast (fasting blood sugar): 70 to 120 mg/dL
• One to two hours after meals: Less than 140 mg/dL
• Before meals and at bedtime: 70 to 120 mg/dL

Blood glucose levels can be checked during your child’s regular doctor appointment. If blood sugar levels are elevated, the doctor may order additional blood and/or urine tests to determine whether your child has diabetes.

​Read more:​ What Parents Should Know About Normal Blood Sugar Levels for Toddlers

Children and Low Blood Sugar

Healthy blood sugar levels for kids are the same as those for adults. However, “children’s glucose [levels] tend to drop more rapidly than adults’,” says Heidi Quinn, RDN, a certified diabetes educator at Harvard’s Joslin Diabetes Center.

Blood sugar levels under 70 mg/dL are considered low. The symptoms of low blood sugar include hunger, irritability, sweating, pale skin, dizziness and/or trouble paying attention, according to Stanford Children’s Health. Be aware of these symptoms, because it’s important to treat low blood sugar right away.

​Read more:​ Why Too High or Too Low Blood Sugar Could Be Dangerous

If your child has hypoglycemia, he or she needs to eat a small amount of sugary food (or drink a sugary drink such as fruit juice) immediately. Be sure to discuss hypoglycemia treatments with your child’s doctor, because the balance can be a bit challenging to maintain. If your child consumes too much sugar in an effort to raise their low blood sugar, their blood glucose level can then rise too high — another health concern.

Tip

If your child has diabetes, talk to his or her health care provider about your hypoglycemia treatment, according to Stanford Children’s Health. In severe cases, a sugar-increasing injection may be necessary.

There are two main types of diabetes, type 1 and type 2. Diabetes statistics show type 1 diabetes is the most common type among children, according to Quinn. The pancreases of children with type 1 diabetes don’t produce enough insulin. This causes glucose to build up in the blood, resulting in high blood sugar. This type of diabetes is called heritable, as the likelihood of developing type 1 diabetes is passed through families, according to the Genetics Home Reference. Though it can occur at any age, type 1 typically presents around age 9 or 10.

Type 2 diabetes isn’t as closely tied to genetics, though a family history of the condition is a risk factor for type 2, according to the Centers for Disease Control and Prevention. Type 2 diabetes is most common in adults and is mainly linked to obesity and unhealthy lifestyle habits. However, Quinn says that there has been a rise in the number of children with type 2 diabetes, in correlation with the obesity epidemic in America.

​Read more:​ 5 Healthy Habits That Can Keep Blood Sugar in Check During Pregnancy

Signs of Diabetes in Kids

It can be challenging to spot the signs of diabetes in children because they may not be able to communicate their symptoms to you. According to the Mayo Clinic, here are some signs to look out for:

• Increased thirst
• Frequent urination, especially within a short amount of time
• Extreme hunger, accompanied by weight loss
• Fatigue
• Irritability and/or behavioral changes
• Fruity-smelling breath
• Blurred vision (children rubbing their eyes can be an indication of this)
• Nausea and vomiting

Bed-wetting is another diabetes red flag, Cara Schrager, RDN, a certified diabetes educator at Harvard’s Joslin Diabetes Center, tells LIVESTRONG.com. Diabetes in children is typically diagnosed after they have been potty-trained, so “bed-wetting is a big giveaway,” she says. “If a child starts wetting the bed again, it’s important to bring it up with their pediatrician.”

Warning

Nausea and vomiting are particularly important signs to watch out for because they are symptoms of a rare but life-threatening diabetes complication called diabetic ketoacidosis (DKA).

Managing Your Child’s Diabetes

One of the most important differences between children and adults with diabetes is day-to-day management, Quinn says. “As children grow, hormones — human growth hormone in particular — make them more resistant to insulin,” she says. “Insulin dosages need to be adjusted quite regularly [to keep blood sugar levels in a healthy range].” She adds that it’s critical for children with diabetes to be seen regularly by a doctor, in order to keep their medication doses on track with their growth.

​Read more:​ 7 Foods That Won’t Cause Blood Sugar Spikes

Type 1 diabetes is typically treated through insulin injections. Type 2 is treated through lifestyle changes (including dietary changes and increased exercise) and possibly medication (including insulin), according to KidsHealth. No matter which type of diabetes your child has, it’s critical to check their blood sugar regularly to make sure that their blood sugar levels are in the target range.

Uncontrolled diabetes can eventually lead to eye problems, nerve damage, kidney disease, high blood pressure and/or stroke, according to the American Diabetes Association. This may sound frightening, but the good news is that these complications can be avoided through proper diabetes management. Therefore, though it may be challenging at times, it’s very important that you as a parent help your child learn how to manage his or her own diabetes. After all, at some point, it will be your child’s responsibility to manage his or her own health.

Tip

You can empower your child by helping him or her create healthy habits for life — habits that include checking blood sugar regularly, taking medication properly, exercising, eating diabetes-friendly meals and scheduling regular doctor appointments.

High blood sugar/glucose level

What is high glucose/sugar level in the blood called?

What is the normal level of blood sugar/glucose?

If you need to know which are the sugar/glucose reference ranges or you require more information about the role of sugar/glucose in the blood, you can visit normal sugar/glucose level in the blood

What does high blood sugar/glucose levels mean?

• Mild hyperglycemia (100 – 126 mg/dl in adults):

  Mild hyperglycemia is not usually a cause for concern. You may have prediabetes. In prediabetes, blood sugar level is slightly higher than normal, but still not as high as in diabetes. That means that you are more likely to develop diabetes in a near future.

  You should take care of your health doing regular physical activity and following a diet plan. It is advisable to take a new blood test a few months later to see if your level is within the normal range.

• Moderate hyperglycemia (126 – 250 mg/dl in adults):

  Your blood sugar/glucose level is abnormally high and you probably have diabetes.

  For this reason, you need medical follow-up. The most common specialists in the field of diabetes are endocrinologists. You would be advised to lose weight with a healthy meal plan. In case your values keep on high in the following blood test, your doctor may recommend anti-diabetic medication and insulin therapy.

  You can read the diabetic diagnosis criteria in the annex 1.

• Marked hyperglycemia (250 – 400 mg/dl in adults):

  Your blood sugar/glucose level is too high and it is a matter of concern.

  You probably have diabetes and you must visit an endocrinologist as soon as possible to start a treatment for diabetes with oral anti-diabetic drugs or insulin. If you are already under treatment, your doctor should adjust the insulin dose.

• Severe hyperglycemia (> 400 mg/dl in adults):

  Your blood sugar/glucose level is so high that you should be feeling excessive thirst (polydipsia) and the need to urinate more often (polyuria). It can also cause confusion and other changes in mental status.

  Your blood sugar/glucose is so high that it can lead to a diabetic coma that requires urgent medical care.

Which factors can raise your blood sugar/glucose level?

There are some health situations or drugs than can raise your blood sugar/glucose level:

• Vigorous exercise
• Pregnancy
• Stress
• Infections
• Brain damage
• Obesity
• Intracranial pressure
• Severe burns
• Drugs
  • Antiepileptic drugs
  • Diuretics
  • Sex hormones
  • Intravenous dextrose

Which diseases can raise your blood sugar/glucose level?

There are many medical conditions why the blood sugar/glucose level can be higher than normal:

What can I do to lower the blood sugar/glucose level?

If your blood sugar/glucose level is slightly high (100-126 gr/dl) you can consider the following tips:

• No sugar diet.
• Do regular, gentle exercise (walking, swimming, and cycling).

If your glucose level keeps over 125 gr/dl, you probably need antidiabetic drugs (insulin) to bring it down.

ANNEX I: Diabetes Diagnostic Criteria

The criteria for diagnosing Diabetes is the presence of at least one of the following assumptions:

1. Hemoglobina A1C (glycoside hemoglobin) > 6.5%.
2. Basal plasma glucose: > 126 mg/dl (7.0mmol/l).
   • 8 hours after your last meal (fasting)
3. Glucose >200 mg/dl (11.1 mmol/l) after 75 gr oral glucose overload
4. Hyperglycemia > 200 mg/dl (11.1 mmol/l).

* If there is no report about previous hyperglycemia points 1 and 3 must be confirmed in a new test.

Where can I find more information about the blood sugar/glucose level?

You can visit our pages about:

Which values are considered a high sugar/glucose level in the blood?

The following values are considered to be above the normal range:

IMPORTANT: These levels are expressed in mg/dl. They are an example of a healthy man of about 45 years of age with no known disease and not taking any medication. The ranges can be different depending on the laboratory or on your personal circumstances.

Bibliography

• Concise Book of Medical Laboratory Technology: Methods and Interpretations. 2nd Edition. 2015. Ramnik Sood. ISBN: 978-93-5152-333-8. Pag. 490.
• Diabetes Care Volume 37, Supplement 1, January 2014.
• Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 1997;20:1183–1197.
• American Diabetes Association. Standards of medical care in diabetes 2014. Diabetes Care 2014;37(Suppl. 1):S14–S80.
• Painter PC, Cope JY, Smith JL. Reference information for the clinical laboratory. In: Burtis CA, Ashwood ER, eds. Tietz textbook of clinical chemistry. Philadelphia:WB Saunders Company, 1999; 1815pp. ISBN 9780721656106.
• Common Terminology Criteria for Adverse Events (CTCAE). Version 5.0.Published: November 27, 2017. U.S. Department of health and human Services. Available on: https://ctep.cancer.gov

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Why is my blood glucose so high when I wake up?- How to lower morning blood sugar

It doesn’t seem fair, does it? You haven’t eaten anything all night and you still wake up with high blood glucose! What is going on? For those of you with diabetes, this post tells you how to lower morning blood sugar.

It doesn’t seem fair, does it? You haven’t eaten anything all night and you still wake up with high blood glucose! What is going on? For those of you with diabetes, this post tells you how to lower morning blood sugar.

Blood glucose basics

Your body strives to keep blood glucose (BG) within a safe range, but with diabetes the balance is disturbed. The insulin your pancreas produces might not be sufficient to cover your BG lowering needs. As well, the insulin it does produce might not be handled properly by target body cells. And to make matters worse, your liver might be on glucose production overdrive. All of this results in your body’s failure to control BG overnight as well as after meals or snacks. For more basic information about diabetes, read Diabetes Basics at MyNetDiary.

How to lower morning blood sugar levels

Dawn phenomenon

Due to normal daily changes in our body’s release of hormones during sleep and wake cycles, BG typically starts to rise in the very early morning – starting about 3 AM – and continues to rise as the morning progresses. For people without diabetes, insulin production simply increases and takes care of the rising BG. However, for people with diabetes, unless there is medication on board to cover this early morning rise, BG will eventually rise out of target range by the time they wake up. The classic pattern is to see BG within target range at both bedtime and during the middle of the night, and then see a high fasting BG.

If you have noticed that your fasting BG is creeping up over time and is no longer within target range despite sticking to a carb controlled eating plan and taking your diabetes medication as prescribed, then it might be time to talk with your doctor about your diabetes medication. The type, dose, and/or timing might need to be adjusted to lower morning BG. The recommended fasting target range is typically 80-130 mg/dL but ask your healthcare provider what is right for you.

Keep thorough records of your BG, food/beverages, exercise, and diabetes medication use. Include an accurate time stamp for all of these logs. If you use MyNetDiary, print out your reports and bring them to your appointment. Please see Tracking Diabetes with MyNetDiary for more information.

Somogyi effect

Did you know that a high fasting BG can be caused by experiencing hypoglycemia (BG < 70 mg/dL) in the middle of the night? It is called the Somogyi Effect. Hypoglycemia can be caused by too much insulin, too few carbs, too much alcohol, and/or extra exercise. When hypoglycemia occurs, the body increases release of hormones that increase BG production. The typical pattern is this: BG within target at bedtime, low in the middle of the night, and then high by morning. You might want to set an alarm to test your BG in the middle of the night to rule this out. If this is happening to you then be sure to see your healthcare provider as soon as possible. Hypoglycemia is not safe and being asleep can reduce a person’s ability to detect it. Not everyone wakes up when they experience hypoglycemia.

Just ate too much the night before?

If you had a late night high carb snack, then it is possible that your fasting blood glucose is high simply due to poor food choices in the presence of insulin resistance. As well, a large late night dinner high in fat can delay digestion and absorption of the carb content of the meal enough so that your post-meal rise in BG is going like gangbusters around the time the Dawn Phenomenon is kicking in.

Need help controlling carbs at meals? You can start with a typical goal of 30-45 grams of total carbs/meal if you are an adult woman or 45-60 grams/meal if you are an adult man. Try limiting your bedtime snack to 11- 20 grams total carbs. Discuss personalized meal and snack goals with your healthcare provider. If you have diabetes, ask your doctor for a referral to a Certified Diabetes Educator (CDE). This type of specialist is trained to help patients manage all aspects of their diabetes care including how to lower morning blood sugar.

Originally published on Dec 4, 2012,
Updated: Updated: Jan 17, 2020

Diabetes->Blood glucose

12. Older Adults: Standards of Medical Care in Diabetes—2021

Recommendation

Older adults with diabetes are at higher risk of cognitive decline and institutionalization (11,12). The presentation of cognitive impairment ranges from subtle executive dysfunction to memory loss and overt dementia. People with diabetes have higher incidences of all-cause dementia, Alzheimer disease, and vascular dementia than people with normal glucose tolerance (13). The effects of hyperglycemia and hyperinsulinemia on the brain are areas of intense research. Poor glycemic control is associated with a decline in cognitive function (14,15), and longer duration of diabetes is associated with worsening cognitive function. There are ongoing studies evaluating whether preventing or delaying diabetes onset may help to maintain cognitive function in older adults. However, studies examining the effects of intensive glycemic and blood pressure control to achieve specific targets have not demonstrated a reduction in brain function decline (16,17).

Clinical trials of specific interventions—including cholinesterase inhibitors and glutamatergic antagonists—have not shown positive therapeutic benefit in maintaining or significantly improving cognitive function or in preventing cognitive decline (18). Pilot studies in patients with mild cognitive impairment evaluating the potential benefits of intranasal insulin therapy and metformin therapy provide insights for future clinical trials and mechanistic studies (19–21).

Despite the paucity of therapies to prevent or remedy cognitive decline, identifying cognitive impairment early has important implications for diabetes care. The presence of cognitive impairment can make it challenging for clinicians to help their patients reach individualized glycemic, blood pressure, and lipid targets. Cognitive dysfunction makes it difficult for patients to perform complex self-care tasks (22), such as monitoring glucose and adjusting insulin doses. It also hinders their ability to appropriately maintain the timing of meals and content of diet. When clinicians are managing patients with cognitive dysfunction, it is critical to simplify drug regimens and to facilitate and engage the appropriate support structure to assist the patient in all aspects of care.

Older adults with diabetes should be carefully screened and monitored for cognitive impairment (2). Several simple assessment tools are available to screen for cognitive impairment (23,24), such as the Mini Mental State Examination (25), Mini-Cog (26), and the Montreal Cognitive Assessment (27), which may help to identify patients requiring neuropsychological evaluation, particularly those in whom dementia is suspected (i.e., experiencing memory loss and decline in their basic and instrumental activities of daily living). Annual screening is indicated for adults 65 years of age or older for early detection of mild cognitive impairment or dementia (4,28). Screening for cognitive impairment should additionally be considered when a patient presents with a significant decline in clinical status due to increased problems with self-care activities, such as errors in calculating insulin dose, difficulty counting carbohydrates, skipped meals, skipped insulin doses, and difficulty recognizing, preventing, or treating hypoglycemia. People who screen positive for cognitive impairment should receive diagnostic assessment as appropriate, including referral to a behavioral health provider for formal cognitive/neuropsychological evaluation (29).

HEALTH AND SAFETY CODE CHAPTER 168. CARE OF STUDENTS WITH DIABETES

HEALTH AND SAFETY CODE

TITLE 2. HEALTH

SUBTITLE H. PUBLIC HEALTH PROVISIONS

CHAPTER 168. CARE OF STUDENTS WITH DIABETES

Sec. 168.001. DEFINITIONS. In this chapter:

(1) “Diabetes management and treatment plan” means the document required by Section 168.002.

(2) “Individualized health plan” means the document required by Section 168.003.

(3) “Principal” includes the principal’s designee.

(4) “School” means a public elementary or secondary school. The term does not include an open-enrollment charter school established under Subchapter D, Chapter 12, Education Code.

(5) “School employee” means a person employed by:

(A) a school;

(B) a local health department that assists a school under this chapter; or

(C) another entity with which a school has contracted to perform its duties under this chapter.

(6) “Unlicensed diabetes care assistant” means a school employee who has successfully completed the training required by Section 168.005.

Added by Acts 2005, 79th Leg., Ch. 1022 (H.B. 984), Sec. 1, eff. June 18, 2005.

Sec. 168.002. DIABETES MANAGEMENT AND TREATMENT PLAN. (a) A diabetes management and treatment plan must be developed and implemented for each student with diabetes who will seek care for the student’s diabetes while at school or while participating in a school activity. The plan shall be developed by:

(1) the student’s parent or guardian; and

(2) the physician responsible for the student’s diabetes treatment.

(b) A diabetes management and treatment plan must:

(1) identify the health care services the student may receive at school;

(2) evaluate the student’s ability to manage and level of understanding of the student’s diabetes; and

(3) be signed by the student’s parent or guardian and the physician responsible for the student’s diabetes treatment.

(c) The parent or guardian of a student with diabetes who seeks care for the student’s diabetes while the student is at school shall submit to the school a copy of the student’s diabetes management and treatment plan. The plan must be submitted to and reviewed by the school:

(1) before or at the beginning of the school year;

(2) on enrollment of the student, if the student enrolls in the school after the beginning of the school year; or

(3) as soon as practicable following a diagnosis of diabetes for the student.

Added by Acts 2005, 79th Leg., Ch. 1022 (H.B. 984), Sec. 1, eff. June 18, 2005.

Sec. 168.003. INDIVIDUALIZED HEALTH PLAN. (a) An individualized health plan is a coordinated plan of care designed to meet the unique health care needs of a student with diabetes in the school setting.

(b) An individualized health plan must be developed for each student with diabetes who will seek care for diabetes while at school or while participating in a school activity. The school principal and the school nurse, if a school nurse is assigned to the school, shall develop a student’s individualized health plan in collaboration with the student’s parent or guardian and, to the extent practicable, the physician responsible for the student’s diabetes treatment and one or more of the student’s teachers.

(c) A student’s individualized health plan must incorporate components of the student’s diabetes management and treatment plan, including the information required under Section 168.002(b). A school shall develop a student’s individualized health plan on receiving the student’s diabetes management and treatment plan.

Added by Acts 2005, 79th Leg., Ch. 1022 (H.B. 984), Sec. 1, eff. June 18, 2005.

Sec. 168.004. UNLICENSED DIABETES CARE ASSISTANT. (a) At each school in which a student with diabetes is enrolled, the school principal shall:

(1) seek school employees who are not health care professionals to serve as unlicensed diabetes care assistants and care for students with diabetes; and

(2) make efforts to ensure that the school has:

(A) at least one unlicensed diabetes care assistant if a full-time nurse is assigned to the school; and

(B) at least three unlicensed diabetes care assistants if a full-time nurse is not assigned to the school.

(b) An unlicensed diabetes care assistant shall serve under the supervision of the principal.

(c) A school employee may not be subject to any penalty or disciplinary action for refusing to serve as an unlicensed diabetes care assistant.

Added by Acts 2005, 79th Leg., Ch. 1022 (H.B. 984), Sec. 1, eff. June 18, 2005.

Sec. 168.005. TRAINING FOR UNLICENSED DIABETES CARE ASSISTANT. (a) The Texas Diabetes Council shall develop guidelines, with the assistance of the following entities, for the training of unlicensed diabetes care assistants:

(1) the department’s School Health Program;

(2) the American Diabetes Association;

(3) the Juvenile Diabetes Research Foundation International;

(4) the American Association of Diabetes Educators;

(5) the Texas Nurses Association;

(6) the Texas School Nurse Organization; and

(7) the Texas Education Agency.

(b) If a school nurse is assigned to a campus, the school nurse shall coordinate the training of school employees acting as unlicensed diabetes care assistants.

(c) Training under this section must be provided by a health care professional with expertise in the care of persons with diabetes or by the school nurse. The training must be provided before the beginning of the school year or as soon as practicable following:

(1) the enrollment of a student with diabetes at a campus that previously had no students with diabetes; or

(2) a diagnosis of diabetes for a student at a campus that previously had no students with diabetes.

(d) The training must include instruction in:

(1) recognizing the symptoms of hypoglycemia and hyperglycemia;

(2) understanding the proper action to take if the blood glucose levels of a student with diabetes are outside the target ranges indicated by the student’s diabetes management and treatment plan;

(3) understanding the details of a student’s individualized health plan;

(4) performing finger-sticks to check blood glucose levels, checking urine ketone levels, and recording the results of those checks;

(5) properly administering glucagon and insulin and recording the results of the administration;

(6) recognizing complications that require seeking emergency assistance; and

(7) understanding the recommended schedules and food intake for meals and snacks for a student with diabetes, the effect of physical activity on blood glucose levels, and the proper actions to be taken if a student’s schedule is disrupted.

(e) The school nurse or principal shall maintain a copy of the training guidelines and any records associated with the training.

Added by Acts 2005, 79th Leg., Ch. 1022 (H.B. 984), Sec. 1, eff. June 18, 2005.

Sec. 168.006. REQUIRED INFORMATION FOR CERTAIN EMPLOYEES. A school district shall provide to each district employee who is responsible for providing transportation for a student with diabetes or supervising a student with diabetes during an off-campus activity a one-page information sheet that:

(1) identifies the student who has diabetes;

(2) identifies potential emergencies that may occur as a result of the student’s diabetes and the appropriate responses to such emergencies; and

(3) provides the telephone number of a contact person in case of an emergency involving the student with diabetes.

Added by Acts 2005, 79th Leg., Ch. 1022 (H.B. 984), Sec. 1, eff. June 18, 2005.

Sec. 168.007. REQUIRED CARE OF STUDENTS WITH DIABETES. (a) If a school nurse is assigned to a campus and the nurse is available, the nurse shall perform the tasks necessary to assist a student with diabetes in accordance with the student’s individualized health plan. If a school nurse is not assigned to the campus or a school nurse is not available, an unlicensed diabetes care assistant shall perform the tasks necessary to assist the student with diabetes in accordance with the student’s individualized health plan and in compliance with any guidelines provided during training under Section 168.005. An unlicensed diabetes care assistant may perform the tasks provided by this subsection only if the parent or guardian of the student signs an agreement that:

(1) authorizes an unlicensed diabetes care assistant to assist the student; and

(2) states that the parent or guardian understands that an unlicensed diabetes care assistant is not liable for civil damages as provided by Section 168.009.

(b) If a school nurse is not assigned to a campus:

(1) an unlicensed diabetes care assistant must have access to an individual with expertise in the care of persons with diabetes, such as a physician, a registered nurse, a certified diabetes educator, or a licensed dietitian; or

(2) the principal must have access to the physician responsible for the student’s diabetes treatment.

(c) Each school shall adopt a procedure to ensure that a school nurse or at least one unlicensed diabetes care assistant is present and available to provide the required care to a student with diabetes during the regular school day.

(d) A school district may not restrict the assignment of a student with diabetes to a particular campus on the basis that the campus does not have the required unlicensed diabetes care assistants.

(e) An unlicensed diabetes care assistant who assists a student as provided by Subsection (a) in compliance with a student’s individualized health plan:

(1) is not considered to be engaging in the practice of professional or vocational nursing under Chapter 301, Occupations Code, or other state law; and

(2) is exempt from any applicable state law or rule that restricts the activities that may be performed by a person who is not a health care professional.

(f) An unlicensed diabetes care assistant may exercise reasonable judgment in deciding whether to contact a health care provider in the event of a medical emergency involving a student with diabetes.

Added by Acts 2005, 79th Leg., Ch. 1022 (H.B. 984), Sec. 1, eff. June 18, 2005.

Sec. 168.008. INDEPENDENT MONITORING AND TREATMENT. In accordance with the student’s individualized health plan, a school shall permit the student to attend to the management and care of the student’s diabetes, which may include:

(1) performing blood glucose level checks;

(2) administering insulin through the insulin delivery system the student uses;

(3) treating hypoglycemia and hyperglycemia;

(4) possessing on the student’s person at any time any supplies or equipment necessary to monitor and care for the student’s diabetes; and

(5) otherwise attending to the management and care of the student’s diabetes in the classroom, in any area of the school or school grounds, or at any school-related activity.

Added by Acts 2005, 79th Leg., Ch. 1022 (H.B. 984), Sec. 1, eff. June 18, 2005.

Sec. 168.009. IMMUNITY FROM DISCIPLINARY ACTION OR LIABILITY. (a) A school employee may not be subject to any disciplinary proceeding, as defined by Section 22.0512(b), Education Code, resulting from an action taken in compliance with this subchapter. The requirements of this subchapter are considered to involve the employee’s judgment and discretion and are not considered ministerial acts for purposes of immunity from liability under Section 22.0511, Education Code. Nothing in the subchapter shall be considered to limit the immunity from liability afforded under Section 22.0511, Education Code.

(b) A school nurse is not responsible for and may not be subject to disciplinary action under Chapter 301, Occupations Code, for actions performed by an unlicensed diabetes care assistant.

Added by Acts 2005, 79th Leg., Ch. 1022 (H.B. 984), Sec. 1, eff. June 18, 2005.

Sec. 168.011. GRANT-WRITING COORDINATION PROGRAM. (a) The department shall employ one person as a grant writer to assist and coordinate with school districts located in the Texas-Mexico border region in obtaining grants and other funds for school-based health centers.

(b) A grant writer employed under this section may secure a grant or other funds on behalf of the state for a school-based health center.

(c) Funds obtained by the use of a grant writer employed under this section may be used only to:

(1) acquire, construct, or improve facilities for a school-based health center;

(2) purchase or lease equipment or materials for a school-based health center; or

(3) pay the salary or employment benefits of a person who is employed to work exclusively in a school-based health center.

Added by Acts 2007, 80th Leg., R.S., Ch. 1111 (H.B. 3618), Sec. 1, eff. June 15, 2007.

Berlin – Locations | Page 168

Seite wurde nicht gefunden. – Gefässzentrum Promenadeplatz

Welcome to

Promenadeplatz Vascular Center!

Diagnostics, treatment and rehabilitation in one center.

The Promenadeplatz Vascular Center was opened in 2012.It is located at Promenadeplatz 8, 80333 Munich. Here we admit patients who are insured by a private health insurance company and private patients without insurance.

We offer you a full range of modern diagnostics, treatment and rehabilitation for all vascular diseases in one center. After the diagnosis has been made, our specialists do not refer you to other doctor’s offices, but continue to deal with your further treatment at our place. On the basis of a detailed personal consultation, you will receive the most gentle treatment individually selected for you.

Learn More!

Office hours

Monday, Tuesday, Thursday
8:00 – 18:00 h.

Wednesday and Friday
8:00 – 13:00 h.

Application form

Do you have an increased risk of arterial blood flow disorders?
Your health is important to us. Using our questionnaire, you can check if you belong to a high-risk group. Many thanks!

Take the test!

Yes No

Result:

You have an increased risk of cardiovascular disease.

If you have any questions about this, we will be happy to answer you by phone:
+49 (0) 89 21 26 90 90

IMPORTANT: If you suddenly have pain in your leg or your leg swells,
You urgently need to contact our doctor’s office or your family doctor!

Result:

You are not at increased risk.

However, there are also preventive examinations to prevent vascular diseases, which we are happy to offer you.
The sooner you start prophylaxis, the more likely you are to avoid the occurrence of diseases.

We will be happy to advise you: +49 (0) 89 21 26 90 90

Question 1:

Are you a woman over 55 or a man over 45?

Question 2:

Did your male relative have a stroke or
heart attack before reaching the age of 55?

Question 3:

Did your mother or sister have a stroke or
heart attack before the age of 65?

Question 4:

Have you already had a heart attack or stroke in the past, or have you been diagnosed with atherosclerosis obliterans of 9088 peripheral arteries (eg “smoker’s gangrene”) or calcification of the coronary or carotid arteries?

Question 5:

Do you move a little and get tired after a short walk?

Question 6:

Are you overweight?

Question 7:

Do you smoke?

Question 8:

Have you ever had high blood pressure (for example, above 140/90 mm.Hg) and / or
Do you take medication to lower your blood pressure?

Question 9:

During previous examinations, did you have a high fat content in your blood (for example,
total cholesterol value is higher than 240 mg / dl), or are you taking medication to lower your blood fat level?

Question 10:

Have you ever had high blood sugar, have you been diagnosed with diabetes
, or are you taking medication to lower your blood sugar?

Our range of individual services:

From A to Z:

Each step taken is individually tailored to you

Our expertise lies in the diagnosis and treatment of all vascular diseases – for example, diseases of the arteries, veins and the lymphatic system, vascular anomalies, cancers and immunological diseases.

Diseases

Vascular diseases can have various causes. In our vascular center, we have concentrated the experience and competence of ten doctors with many years of experience in their specialization, numbering more than one decade.

Diseases

Diagnostics

Our experts conduct a detailed personal consultation with you and offer the best solution for you.

Diagnostics

Treatment

Our therapeutic approach: “Minimally invasive – as gentle as possible”.Thanks to modern methods of treatment, open surgery can be avoided in most cases.

Treatment

Better not take risks

Get a preventive examination!

Cardiovascular diseases are still the most common cause of death. There are also preventive examinations for vascular diseases, which we gladly offer you. The sooner you start conducting preventive examinations, the more likely you are to avoid the occurrence of diseases.We will be happy to advise you:

Contact

Excellent treatment

High marks from independent test centers

90,000 What to Include in Your Diet to Prevent Vitamin B12 Deficiency: 10 Foods

If you are a vegan, vegetarian, or have a health condition that makes it difficult to absorb nutrients, such as Crohn’s disease, it may be more difficult for you to meet your daily vitamin B12 needs.Most likely, you should consult with your doctor, who, if necessary, will prescribe the appropriate vitamin complexes.

Helpful Tests for helminths: what, to whom and when to take

Vitamin B12 deficiency is difficult to detect. The most common symptoms of a deficiency are weakness, fatigue, anemia, or numbness in the arms and legs. To prevent this, make sure you get enough vitamin B12 in your diet.

Salmon

112 grams of boiled is:

• 130 calories;
• vitamin B12: 4 micrograms, which is 168% of the DV.

In addition to being a rich source of vitamin B12, salmon contains lean protein and heart-healthy omega-3 fatty acids.

Beef

Beef to prevent vitamin B12 deficiency / Photo Pexels

100 grams of cooked ground beef contains:

• 221 calories;
• Vitamin B12: 2.3 micrograms, which is 95.6% of the RDA.

It is also important which part of the cow is on your plate.The researchers found that one serving of beef liver can provide 71 micrograms of vitamin B12, which is about 30 times the daily value, compared to only 1.4 micrograms in fillets.

Beef is also rich in iron, which is important for the production of red blood cells. However, this meat is worth eating in moderation. For all its benefits, beef is a source of saturated fat, which can increase cholesterol levels and your risk of heart disease.

Nutritional Yeast

Yeast to Prevent Vitamin B12 Deficiency / Photo by Pexels

A 16 gram serving of Nutritional Yeast contains

• 60 calories
• Vitamin B12: 24 micrograms (1000% DV).

Yeast is one of the best sources of B12 for people who don’t eat meat or dairy. Plus, they contain 8 grams of protein per serving and 9 essential amino acids to help the body repair tissue.

Milk

With one cup of milk you get:

• 124 calories:
• 1.4 micrograms vitamin B12 (54% of the DV).

According to a small study from 2013, milk is a good vegetarian source of vitamin B12. In addition, milk is a source of calcium, protein and vitamin D, which are important for maintaining healthy bones and teeth.

Yogurt

100 grams of plain low fat Greek yogurt contains:

• 59 calories;
• Vitamin B12: 0.7 micrograms (29% DV).

Foods rich in probiotics such as yogurt are good for the intestines. In particular, their regular consumption stimulates the digestion of food, improves the absorption of vitamins and prevents disease.

Eggs

1 chicken egg contains:

• 71.9 calories;
• Vitamin B12: 0.5 micrograms (20.8% DV).

Although eggs are an important source of vitamin B12, a 2007 study found that we can only absorb 9%.

A serving of oatmeal

A 28 gram serving of whole grain oatmeal contains:

• 105 calories;
• Vitamin B12: 1.3 micrograms (54% DV)

Breakfast cereals are another product that can be beneficial for vegans and vegetarians. The nuance lies in what kind of cereal you buy. Experts advise to opt for breakfasts that are high in fiber and protein without added sugar.

Interesting What to do if you feel hungry all the time: Nutritionist shared tips

Cheddar cheese

40 grams of cheddar fat contains:

• 69.2 calories;
• Vitamin B12: 0.49 micrograms (20.4% DV).

While cheese is a good source of B12, protein, calcium and vitamin D, it should not be overused as it can become an undesirable source of saturated fat and sodium.

Tuna

One can (107 grams) of tuna contains:

• 96.3 calories;
• Vitamin B12: 2.75 micrograms (120% DV).

In addition to being a good source of vitamin B12, tuna contains 19 grams of protein.

Turkey

Turkey to prevent vitamin B12 deficiency / Photo by Pexels

A serving of ground turkey contains

• 173 calories;
• Vitamin B12: 1.